What are my plan options?

In general, PEBB retirees may choose from the plans listed below. Your options are limited to the plans available in your county and whether you are enrolled in Medicare Part A and Part B. Remember, if you cover eligible dependents, everyone must enroll in the same medical plan (with some exceptions, based on eligibility for Medicare Part A and Part B).

Certificates of Coverage: non-Medicare

2019

Certificates of Coverage: Medicare

2019

Is there a quick way to see benefits and costs?

The following documents—called a Summary of Benefits and Coverage—provide summaries of what each plan covers and what it costs. For in-depth descriptions of benefits and coverage, see What are the benefits of each plan?

2If a Kaiser Permanente NW subscriber is enrolled in Medicare Part A and Part B and covers a family member not eligible for Medicare, the family member will be enrolled in Kaiser Permanente NW Classic. The subscriber will pay the combined Medicare and non-Medicare rate shown for Kaiser Permanente NW Senior Advantage.

2019

Non-Medicare

Plan

Subscriber only

Subscriber and spouse1

Subscriber and child(ren)

Subscriber, spouse,1 and child(ren)

Kaiser Permanente NW Classic

$710.65

$1,415.33

$1,239.16

$1,945.84

Kaiser Permanente NW CDHP

$604.16

$1,196.38

$1,062.91

$1,596.81

1 or state-registered domestic partner

Do I live in the medical plan's service area?

In most cases, you must live in a medical plan’s service area to join the plan. Use the tables below to make sure you live in the plan's service area.